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Randle Patrick McMurphy (Nicholson) has been dating a fifteen year old (fifteen going on thirty-five) and is sentenced for a short term for contributing to the delinquency of a minor. Rather than spend his time in jail, he convinces the guards that he's crazy enough to need psychiatric care and is sent to a hospital. He fits in frighteningly well, and his different point of view actually begins to cause some of the patients to progress. Nurse Ratched (Fletcher) becomes his personal cross to bear as his resistence to the hospital routine gets on her nerves.

Trivia: In the scene where Doctor Spivey is interviewing McMurphy, this whole scene is improvised. Spivey (Dr. Dean Brooks) is the ACTUAL doctor of the institute in real life, and was simply told to interview Jack Nicholson (McMurphy) as if he was a real patient. Nicholson had to improvise and get from the beginning of the scene to the end.

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In the scene where Doctor Spivey is interviewing McMurphy, this whole scene is improvised. Spivey (Dr. Dean Brooks) is the ACTUAL doctor of the institute in real life, and was simply told to interview Jack Nicholson (McMurphy) as if he was a real patient. Nicholson had to improvise and get from the beginning of the scene to the end.